1154951036 NPI number — DR. JESSICA ELIZABETH SILIPIGNI DC

Table of content: DR. JESSICA ELIZABETH SILIPIGNI DC (NPI 1154951036)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1154951036 NPI number — DR. JESSICA ELIZABETH SILIPIGNI DC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SILIPIGNI
Provider First Name:
JESSICA
Provider Middle Name:
ELIZABETH
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1154951036
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/01/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
310 S FAIRVIEW AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EGG HARBOR CITY
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08215-3743
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
708 ROUTE 50 STE B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MAYS LANDING
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08330-2122
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-459-5477
Provider Business Practice Location Address Fax Number:
609-459-5478
Provider Enumeration Date:
01/20/2020

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  38MC00765800 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)